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1902405129
IVELISSE LOPEZ
HACKENSACK, NJ
NPI
1902405129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2020-10-19
Last Update Date
2020-10-19
Business Address
IVELISSE LOPEZ
254 EUCLID AVE
HACKENSACK, NJ 07601-2845
Phone number: 201-654-1064
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Mailing Address
IVELISSE LOPEZ
254 EUCLID AVE
HACKENSACK, NJ 07601-2845
Phone number:
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